Frequently Asked Questions

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Pelvic Health Physiotherapy

What is the "Pelvic Floor"?

The term "pelvic floor" generally refers to a group of muscles that make up the "floor" of the pelvis. These muscles physically hold the weight of our organs, and also contribute to bowel and bladder function. Dysfunction of the pelvic floor muscles can happen in several ways: the muscles can become weak (especially following pregnancy and childbirth), leading to pelvic organ prolapse and accidental bladder leakage with coughing/sneezing etc; the muscles can also become overly tight and tense, which often leads to symptoms such as overactive bladder (urinating more than 5-7 times in 24 hours), "urgency" (very sudden, strong urges to urinate), and pain either in the pelvis or the genitals. Pain with intercourse is also a very common symptom of pelvic floor dysfunction

What can I expect at my Pelvic Health Assessment?

When you come for your first visit at the clinic, you can expect an in-depth private discussion with your physiotherapist about your personal health history and your current symptoms. You can also expect an internal pelvic exam (which can be done vaginally or rectally), which enables your physiotherapist to assess strength and tone of the pelvic floor muscles, while also testing for things like prolapse and scar tissue. This is an integral part of the physiotherapy assessment, and your therapist is highly trained in this practice. All pelvic health appointments take place in a private room and typically take anywhere between 45 minutes to an hour, one-on-one with your therapist.

I already tried kegels and they didn't work; Is physiotherapy right for me?

Although "kegels" have become synonymous with "pelvic floor" recently, it is a common misconception that they are the only type of treatment for pelvic floor dysfunction. In fact, doing kegels can make some conditions worse. It is imperative that you speak to a pelvic health physiotherapist who will advise you what types of exercises will help your specific condition.

What happens if I am on my period

You do not need to cancel your appointment due to an untimely period. Physiotherapists are completely comfortable with the female body and all of its functions, and encourage you to continue to attend your treatments regardless. We have extra absorbent padding for days like these and we always wear gloves. This is never a concern for the therapists who are respectful and professional at all times.

Do I need a doctor's referral?

No, a referral from your doctor is not necessary to see a pelvic health physiotherapist. However, do check with your insurer in case a doctor's referral is required in order for your visit to be covered under your extended health benefits.